DAVID L SIMON Registered Nurse License verification

DAVID L SIMON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041416321

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

SIMON

Business Name

DAVID L SIMON

Original Issue Date

11/12/2013

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

SHANNON

State

Zip

61078

County

CARROLL

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2019004109

Action

Suspension

Discipline Start Date

08/24/2020

Discipline Reason

registered professional nurse license indefinitely suspended due to respondent's unprofessional conduct, gross negligence in the practice of professional nursing, and failure to report respondent's termination.